‘DETECTION OF ABNORMAL CERVICAL CYTOLOGY BY PAP’S SMEAR AND COMPARISON BETWEEN RURAL AND URBAN WOMEN’

Abstract

Detection of abnormal cervical cytology by pap's smear and comparison between rural and urban women". ABSTRACT: BACKGROUND: This study was carried out in department of obstetrics and gynaecology G.R. Medical College Gwalior (MP). AIMS AND OBJECTIVES: To study the incidence of malignant and pre malignant cases of cancer cervix in women attending outdoor patient department of G R medical college Gwalior. To find out the role of PAP's smear in early detection of premalignant and early carcinoma cervix and to compare the results between urban and rural women. MATERIAL AND METHOD: a total of 400 subjects were selected attending outdoor patient department of G R medical college Gwalior with equal number of urban and rural areas. Information about age, parity, age at marriage, complaints, clinical findings, Pap's smears were prepared and histological interpretations were recorded. RESULTS: Maximum number of patients was in the age group of 31-40 years. Mean age at marriage was 17.5 years for woman of rural areas and that for urban woman was 21.5 years. In the rural patients highest number were P2-P4 (53%) followed by > P4 (46.5%). In urban patients too maximum number of patients had parity between P2-P4 (69.5%) followed by > P4 (28.5%). Grand multiparity was seen in 20.5% among rural women as compared to 1.5 % among urban women. Among the rural patients use of barrier method of contraception was only 12% while in urban areas it was 30%. Percentage of couples who were not using any contraception was 47.5% in rural area and 33% in urban area. The most common presenting complaint was white discharge among both rural and urban groups (75% vs. 72%). The most common clinical finding was cervical erosion (57.5%) Histopathological interpretation of Pap's smear revealed cervical squamous epithelial lesions (LSIL and HSIL) in 10.5% smears of rural and 4.5% smears of urban women. A total of 4% smears were found positive for malignancy in rural women as compared to 1.5% smears in urban women.